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NEW JERSEY— School is almost out, and so are ticks.

More than 5,000 cases of lyme disease were reported in New Jersey in 2017. That’s the highest number in nearly two decades according to the state's health department.

Dr. Elizabeth Chalom of Saint Barnabas Medical Center in West Orange, N.J. says the most common lyme disease symptoms are rashes. But parents should be mindful that not all cases should be looked at the same.

"Many people never notice the rash at all, so just because you don’t have a rash doesn’t mean you don’t have lyme disease," said Chalom.